SURGERY CENTER AT THE RESERVE, P.A., INC.
NPI 1639615297
Clinic/Center - Ambulatory Surgical in Jonesboro, AR

Active since January 06, 2017CLIA 04D2126514 · Waiver
2241 HILLPARK COVE, SUITE B, JONESBORO, AR 72401(870) 333-5747 Get Directions Write a Review

NPPES record last updated: January 6, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Surgery Center At The Reserve, P.a., Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SURGERY CENTER AT THE RESERVE, P.A., INC. (NPI 1639615297) is a healthcare organization registered as an ambulatory surgical in Jonesboro, Arkansas and active in the NPI registry since January 2017. The organization holds a CLIA Waiver certificate valid through February 27, 2027 and lists Keith Chrestman, Agent, as its authorized official.

NPPES Registry Identity

NPI1639615297
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameSURGERY CENTER AT THE RESERVE, P.A., INC.
Location Address2241 HILLPARK COVE, SUITE BJonesboro, AR 72401
Mailing Address2241 Hillpark Cove, Suite BJonesboro, AR 72401 · (870) 333-5747
Organization SubpartNo
Authorized OfficialKeith ChrestmanAgent · (870) 933-8517
Enumeration DateJanuary 6, 2017
NPI 1639615297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
2241 HILLPARK COVE, Jonesboro, AR 72401

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 04D2126514

Surgery Center At The Reserve PA, Inc · Jonesboro, AR
Active · expires Feb 27, 2027
CLIA Number04D2126514
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 28, 2025
Certificate Expiration DateFebruary 27, 2027
Laboratory DirectorDr. Wojciech T. Majewski
Laboratory Phone(870) 333-5747
Laboratory LocationSurgery Center At The Reserve PA, Inc2241 Hill Park Cove Suite B, Jonesboro, AR 72401
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Surgery Center At The Reserve, P.A., Inc.'s NPI number?

The NPI number for Surgery Center At The Reserve, P.A., Inc. is 1639615297. It was assigned to this organization in the NPPES registry on January 6, 2017.

Where is Surgery Center At The Reserve, P.A., Inc. located?

Surgery Center At The Reserve, P.A., Inc. is located at 2241 Hillpark Cove Suite B, Jonesboro, AR 72401. The listed phone number is (870) 333-5747.

What is Surgery Center At The Reserve, P.A., Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Surgery Center At The Reserve, P.A., Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2126514) is associated with this NPI, valid through February 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Surgery Center At The Reserve, P.A., Inc. accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health and Ambetter from Superior HealthPlan and 5 other insurers list Surgery Center At The Reserve, P.A., Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Surgery Center At The Reserve, P.A., Inc. was last updated on January 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.